BMJ 1994;308:656 (5 March)

Letters

Arbitration and the NHS

EDITOR, - Malcolm Forsythe's editorial on arbitration and the internal market is thought provoking.1 He suggests that guidance on the use of arbitration to resolve disputes between the public and NHS purchasers once other attempts at resolution have been exhausted would benefit everyone. A recent editorial in the Times said: "With [the British government's] current ethos of competition and comparison... politicians have encouraged citizens to scrutinize the institutions the serve them. The effect is paradoxical. Standards rise, but so too do knowledge, expectations, dissatisfaction and disappointment." In this climate one can see the expectations and militancy of the public increasing, against the backdrop of the publicly stated statistic that over half of the population has no access to justice, the reason being cost.

To ease this situation in medicine the Chartered Institute of Arbitrators has proposed to the Department of Health that one or two pilot schemes should be run . . . [Full text of this article]


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This article has been cited by other articles:

  • Gazvani, M R (1994). Human rights in Turkey. BMJ 308: 1511c-1512 [Full text]  
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